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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37487/psn-pdf
    May 26, 2011 - Predicting computerized physician order entry system adoption in US hospitals: can the federal mandate be met? May 26, 2011 Ford EW, McAlearney AS, Phillips MT, et al. Predicting computerized physician order entry system adoption in US hospitals: Can the federal mandate be met? Int J Med Inform. 2007;77(8). doi:1…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61037/psn-pdf
    January 01, 2021 - What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization. October 21, 2020 Sharma AE, Yang J, Del Rosario JB, et al. What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization. Jt Comm J Qual Patie…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40477/psn-pdf
    March 23, 2012 - Adverse drug events in U.S. adult ambulatory medical care. March 23, 2012 Sarkar U, Lopez A, Maselli JH, et al. Adverse drug events in U.S. adult ambulatory medical care. Health Serv Res. 2011;46(5):1517-1533. doi:10.1111/j.1475-6773.2011.01269.x. https://psnet.ahrq.gov/issue/adverse-drug-events-us-adult-ambulator…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35771/psn-pdf
    May 27, 2011 - Return on investment for a computerized physician order entry system. May 27, 2011 Kaushal R, Jha AK, Franz C, et al. Return on investment for a computerized physician order entry system. J Am Med Inform Assoc. 2006;13(3):261-6. https://psnet.ahrq.gov/issue/return-investment-computerized-physician-order-entry-syst…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37849/psn-pdf
    March 23, 2011 - The incidence and nature of in-hospital adverse events: a systematic review. March 23, 2011 de Vries EN, Ramrattan MA, Smorenburg SM, et al. The incidence and nature of in-hospital adverse events: a systematic review. Qual Saf Health Care. 2008;17(3):216-223. doi:10.1136/qshc.2007.023622. https://psnet.ahrq.gov/is…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44697/psn-pdf
    June 21, 2016 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update. June 21, 2016 Rockville, MD: Agency for Healthcare Research and Quality; December 2015. AHRQ Publication No. 16- 0009-EF. https://psnet.ahrq.gov/issue/saving-lives-and-saving-money-hospital-acquired-conditions-update The Partnership for Patients …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36291/psn-pdf
    October 25, 2010 - Medicare payment for selected adverse events: building the business case for investing in patient safety. October 25, 2010 Zhan C, Friedman B, Mosso A, et al. Medicare payment for selected adverse events: building the business case for investing in patient safety. Health Aff (Millwood). 2006;25(5):1386-93. https:/…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37974/psn-pdf
    March 04, 2011 - The impact of medical errors on ninety-day costs and outcomes: an examination of surgical patients. March 4, 2011 Encinosa W, Hellinger FJ. The impact of medical errors on ninety-day costs and outcomes: an examination of surgical patients. Health Serv Res. 2008;43(6):2067-85. doi:10.1111/j.1475-6773.2008.00882.x. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40405/psn-pdf
    February 10, 2015 - The social cost of adverse medical events, and what we can do about it. February 10, 2015 Goodman JC, Villarreal P, Jones B. The social cost of adverse medical events, and what we can do about it. Health Aff (Millwood). 2011;30(4):590-595. doi:10.1377/hlthaff.2010.1256. https://psnet.ahrq.gov/issue/social-cost-adv…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39852/psn-pdf
    February 10, 2015 - National costs of the medical liability system. February 10, 2015 Mello MM, Chandra A, Gawande AA, et al. National costs of the medical liability system. Health Aff (Millwood). 2010;29(9):1569-1577. doi:10.1377/hlthaff.2009.0807. https://psnet.ahrq.gov/issue/national-costs-medical-liability-system The role of medi…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44560/psn-pdf
    January 23, 2017 - What is the return on investment for implementation of a crew resource management program at an academic medical center? January 23, 2017 Moffatt-Bruce SD, Hefner JL, Mekhjian H, et al. What Is the Return on Investment for Implementation of a Crew Resource Management Program at an Academic Medical Center? Am J Med…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865411/psn-pdf
    March 27, 2024 - Utilizing EHR-derived data, such as estimating how often appropriate actions are taken when a BPA is
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37831/psn-pdf
    December 23, 2012 - Charges and lengths of stay attributable to adverse patient-care events using pediatric-specific quality indicators: a multicenter study of freestanding children's hospitals. December 23, 2012 Kronman MP, Hall M, Slonim A, et al. Charges and lengths of stay attributable to adverse patient-care events using pediat…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42895/psn-pdf
    December 18, 2014 - National trends in patient safety for four common conditions, 2005–2011. December 18, 2014 Wang Y, Eldridge N, Metersky M, et al. National trends in patient safety for four common conditions, 2005- 2011. N Engl J Med. 2014;370(4):341-51. doi:10.1056/NEJMsa1300991. https://psnet.ahrq.gov/issue/national-trends-patie…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38983/psn-pdf
    February 10, 2015 - Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals. February 10, 2015 Jha AK, Chan DC, Ridgway AB, et al. Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals. Health Aff (Millwood). 2009;28(5):1475-1484. doi:10.1377/hlthaff.28.5.1475. https://psnet.ahrq.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44353/psn-pdf
    November 03, 2015 - Evaluation of symptom checkers for self diagnosis and triage: audit study. November 3, 2015 Semigran HL, Linder JA, Gidengil C, et al. Evaluation of symptom checkers for self diagnosis and triage: audit study. BMJ. 2015;351:h3480. doi:10.1136/bmj.h3480. https://psnet.ahrq.gov/issue/evaluation-symptom-checkers-self…
  17. psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
    July 01, 2017 - units of transfused red blood cell units results in death due to acute hemolytic reaction. 17,18 When estimating
  18. psnet.ahrq.gov/web-mm/what-was-those-platelets
    August 28, 2024 - What Was in Those Platelets? Citation Text: Yomtovian R. What Was in Those Platelets? . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47559/psn-pdf
    November 14, 2018 - Changes in prevalence of health care-associated infections in U.S. hospitals. November 14, 2018 Magill SS, O'Leary E, Janelle SJ, et al. Changes in Prevalence of Health Care-Associated Infections in U.S. Hospitals. N Engl J Med. 2018;379(18):1732-1744. doi:10.1056/NEJMoa1801550. https://psnet.ahrq.gov/issue/change…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43928/psn-pdf
    April 08, 2018 - Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and facility characteristics. April 8, 2018 Moy E, Barrett M, Coffey R, et al. Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and facility characteristics. Diagnosis …

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